Segment Reporting

12 Months Ended

Dec. 31, 2020

Segment Reporting [Abstract]

Segment Reporting

12) SEGMENT REPORTING

Our reportable operating segments consist of acute care hospital services and behavioral health care services. The “Other” segment column below includes centralized services including, but not limited to, information technology, purchasing, reimbursement,

accounting and finance, taxation, legal, advertising and design and construction. The chief operating decision making group for our acute care services and behavioral health care services is comprised of our Chief Executive Officer, the President and the Presidents of each operating segment. The Presidents for each operating segment also manage the profitability of each respective segment’s various facilities. The operating segments are managed separately because each operating segment represents a business unit that offers different types of healthcare services or operates in different healthcare environments. The accounting policies of the operating segments are the same as those described in the summary of significant accounting policies included in Note 1-Business and Summary of Significant Accounting Policies. The corporate overhead allocations, as reflected below, are utilized for internal reporting purposes and are comprised of each period’s projected corporate-level operating expenses (excluding interest expense). The overhead expenses are captured and allocated directly to each segment, to the extent possible, based upon each segment’s respective percentage of total operating expenses.

2020	Acute Care Hospital Services			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	30,562,093		$	9,718,934		$	—		$	40,281,027
Gross outpatient revenues	$	16,272,520		$	963,799		$	—		$	17,236,319
Total net revenues	$	6,337,304		$	5,208,722		$	12,871		$	11,558,897
Income (loss) before allocation of corporate overhead and    income taxes	$	693,427		$	1,023,257		$	(464,601	)	$	1,252,083
Allocation of corporate overhead	$	(223,921	)	$	(170,849	)	$	394,770		$	0
Income (loss) after allocation of corporate overhead and    before income taxes	$	469,506		$	852,408		$	(69,831	)	$	1,252,083
Total assets	$	4,927,456		$	7,044,617		$	1,504,806		$	13,476,879

2019	Acute Care Hospital Services			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	28,430,922		$	10,100,903		$	—		$	38,531,825
Gross outpatient revenues	$	17,666,629		$	1,066,704		$	—		$	18,733,333
Total net revenues	$	6,164,560		$	5,210,063		$	3,636		$	11,378,259
Income (loss) before allocation of corporate overhead and    income taxes	$	713,410		$	900,965		$	(548,038	)	$	1,066,337
Allocation of corporate overhead	$	(230,166	)	$	(166,571	)	$	396,737		$	0
Income (loss) after allocation of corporate overhead and    before income taxes	$	483,244		$	734,394		$	(151,301	)	$	1,066,337
Total assets	$	4,405,643		$	6,910,790		$	351,817		$	11,668,250

2018	Acute Care Hospital Services			Behavioral Health Services (a.)			Other			Total Consolidated
	(Dollar amounts in thousands)
Gross inpatient revenues	$	24,814,959		$	9,735,521		$	—		$	34,550,480
Gross outpatient revenues	$	14,967,313		$	1,025,721		$	—		$	15,993,034
Total net revenues	$	5,719,905		$	5,038,874		$	13,499		$	10,772,278
Income (loss) before allocation of corporate overhead and    income taxes	$	708,680		$	915,517		$	(589,672	)	$	1,034,525
Allocation of corporate overhead	$	(199,823	)	$	(161,282	)	$	361,105		$	0
Income (loss) after allocation of corporate overhead and    before income taxes	$	508,857		$	754,235		$	(228,567	)	$	1,034,525
Total assets	$	4,094,537		$	6,786,369		$	384,574		$	11,265,480

(a.) Includes net revenues generated from our behavioral health care facilities located in the U.K. amounting to approximately $584 million in 2020, $554 million in 2019 and $505 million in 2018.  Total assets at our U.K. behavioral health care facilities were approximately $1.334 billion as of December 31, 2020, $1.270 billion as of December 31, 2019 and $1.224 billion as of December 31, 2018. In addition, included in our 2019 Behavioral Health Services operating segment Income (loss) before allocation of corporate overhead and income taxes is a pre-tax $98 million provision for asset impairment to reduce the carrying value of a tradename intangible asset and real property assets. Included in our 2018 Behavioral Health Services operating segment Income (loss) before allocation of corporate overhead and income taxes is a pre-tax $49 million provision for asset impairment to reduce the carrying value of a tradename intangible asset.